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General NPI Number Information
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NPI Number | 1801712153
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Entity Type | Organization
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Legal Business Name | SCHOOL PSYCHOLOGIST SERVICES, PLLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 222 OLD THAYER MILL RD
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City | TROY
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State | NC
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Zip | 27371-2009
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Country | US
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Telephone | 910-282-7927
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Fax |
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Provider Business Mailing Address
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Address Line | 222 OLD THAYER MILL RD
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City | TROY
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State | NC
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Zip | 27371-2009
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Country | US
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Telephone | 910-282-7927
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Fax |
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Authorized Official
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Title or Position | MEMBER AND ORGANIZER
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Name | MARTHA ELIZABETH TILLEY
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Credential | MA, SSP, LPA
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Telephone | 910-282-7927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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